Rare Case of Prolapsing Vaginal Cyst

Abstract

ABSTRACT Müllerian cysts typically are <2 cm in size and asymptomatic. Our patient presented with big mass coming out per vaginum and intermittent vaginal discharge. A provisional diagnosis of first degree uterovaginal descent with cystorectocele with small right lateral vaginal wall cyst was made. The patient was posted for vaginal hysterectomy with anteroposterior colporrhaphy with excision of the cyst. What we thought was a routine vaginal hysterectomy for prolapse allotting another few minutes for a small cyst removal, turned out to be a complicated procedure, requiring additional time and expertize. Not all patients presenting with mass coming out per vaginum, necessarily, are a case of prolapse. One should not minimize the importance of vaginal wall cysts, irrespective of their size. A detailed evaluation, using MRI scan is indicated, prior to proceeding with their removal. How to cite this article Valecha SM, Shah N, Gandhewar M, Shende P. Rare Case of Prolapsing Vaginal Cyst. J South Asian Feder Obst Gynae 2013;5(1):40-41.